NPIMap

Organization Active NPI

SF Sports Med & Rehab Inc

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1316933344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SF SPORTS MED & REHAB INC
Practice address
104 Old Las Vegas Hwy
Santa Fe, NM 87505-8199
Phone
(505) 992-4995
Fax
(505) 992-4985
NPI assigned
Sep 26, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie A Endreson, MSNPI 1295894228
Title
Owner
Phone
(505) 992-4995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

104 Old Las Vegas Hwy
Santa Fe, NM 87505-8199

Mailing address

104 Old Las Vegas Hwy
Santa Fe, NM 87505-8199
Phone (505) 992-4995

Other names 1

  • Santa Fe Sports Medicine & Rehabilitation LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316933344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 OLD LAS VEGAS HWY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875058199",
            "telephone_number": "505-992-4995",
            "fax_number": "505-992-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 OLD LAS VEGAS HWY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875058199",
            "telephone_number": "505-992-4995",
            "fax_number": "505-992-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SF SPORTS MED & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENDRESON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-992-4995",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Sports Medicine & Rehabilitation LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.